Nutritional challenges in patients with gastroparesis
Abstract
Purpose of review Our purpose was to review the most recent publications on nutritional management in gastroparesis, and their relevance for global management of gastroparesis. Recent findings The last months, several reviews on gastroparesis have been published as well as excellent reviews on the nutritional management of patients suffering this condition. In these publications, the relevance of nutrition in management of gastroparesis has been highlighted. However, alarming studies have been published from several authors from Europe and the United States showing that a majority of patients did not follow any dietary advice from a specialist in nutrition, most patients start restrictive diets by their own, and that as much as 60% of patients have a caloric-deficient diet. In addition, recent studies show that some of the recommendations, like a radical exclusion of fibers from the diet, may be reconsidered taking into account the potential beneficial effects of fibers in global health. Summary Nutritional interventions are one of the cornerstones in management of gastroparesis. Consequently, an interdisciplinary approach, with managing teams composed by gastroenterologist and specialist in nutrition should be the correct strategy to achieve the best outcomes in symptom control and prevention of complications related to nutritional deficits. Video abstract http://links.lww.com/COCN/A17.
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Nutritional morbidities are common in DGP: nausea, vomiting, early satiety, and postprandial fullness limit food intake and often lead to involuntary weight loss, micronutrient deficiencies (particularly iron, vitamin B12, vitamin D, and fat-soluble vitamins), reduced protein intake, sarcopenia, increased risk of dehydration and hospitalization.
“Nutritional morbidities are also common: nausea, vomiting, early satiety, and postprandial fullness limit food intake and often lead to involuntary weight loss, micronutrient deficiencies (particularly iron, vitamin B12, vitamin D, and fat-soluble vitamins), reduced protein intake, sarcopenia, increased risk of dehydration and hospitalization [105–108].”
From Diabetic gastroparesis: pathophysiology and impact on insulin timing choices (2026) · cites this paper as [107]
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- Authors
- Aguilar, A., Malagelada, C., & Serra, J.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Corresponding author
- Serra, Jordi
- Venue
- Current Opinion in Clinical Nutrition & Metabolic Care
- Published
- 2022-07-16
- Volume
- 25
- Issue
- 5
- Pages
- 360-363
- ISSN
- 1363-1950 (ISSN-L)
- 1473-6519
- OpenAlex
- W4285490541
- Cited by
- 9
- References
- 13
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 1
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Clinical Nutrition & Metabolic Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- gastroparesis, dietary management, restrictive diets, energy deficiency, dietary fiber, multidisciplinary care, nutritional deficiency, symptom management
- MeSH terms
- Diet, Europe, Health Education, Humans, Gastroparesis, Nutrition Therapy
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